Ngati mukulandira chithandizo cha khansa ya m'mawere , mwina mukumva kutopa kwambiri, kutopa, komanso kudwala nthawi zonse. Izi zimachitika kawirikawiri kwa anthu ambiri panthawi ya chithandizo cha chemotherapy. Izi zili choncho chifukwa chithandizochi chimachepetsa kuchuluka kwa maselo oyera amagazi, mtundu wa chitetezo chamthupi chomwe chili chofunikira kwa thupi lathu. Izi ndi zomwe tikukamba lero.
Kodi neutropenia ndi chiyani?
Mwachidule, pamene tizilombo toyambitsa matenda, monga mabakiteriya ndi mavairasi, tilowa m'thupi mwathu, tili ndi gulu lankhondo loti tilimbane nawo. Omenyera nkhondo kutsogolo m'gululi ndi maselo oyera amagazi otchedwa neutrophils .
Tsopano ganizirani izi, chemotherapy ndi mankhwala amphamvu omwe amapha maselo a khansa. Mankhwalawa sangazindikire maselo a khansa komanso maselo athanzi m'thupi lathu omwe amagawikana mofulumira. Chifukwa chake, akamapha maselo a khansa, asilikali awa otchedwa ma neutrophils omwe amagawikana mofulumira nawonso amaphedwa.
Monga momwe asilikali athu amavutikira kwambiri kuukiridwa chiwerengero cha asilikali chikachepa, matupi athu amavutikira kwambiri kugwidwa ndi matenda chiwerengero cha ma neutrophils chikachepa. Malinga ndi zamankhwala, kuchepa kwa ma neutrophils kumatchedwa neutropenia .
Koma ndikofunikira kukumbukira kuti neutropenia ndi zotsatira zakanthawi chabe za mankhwala a chemotherapy. Thupi lanu lidzabwerera mwakale chithandizo chikatha.
Kodi tiyenera kuchita chiyani kuti tidziteteze ku matenda?
Tiyenera kusamala kwambiri panthawiyi, chifukwa ngakhale chimfine chaching'ono chingakhale chachikulu. Nazi njira zosavuta zomwe mungatsatire.
| Njira zoti muchite | Kufotokozera ndi kufunika kwake |
|---|---|
| Kulandira katemera | Pezani katemera onse omwe dokotala wanu amalimbikitsa (monga jakisoni wa chimfine, COVID-19, chibayo). Katemerayu amakupatsirani chitetezo chachikulu pamene chitetezo chanu cha mthupi chili chofooka. |
| Sambani m'manja nthawi zambiri. | Iyi ndi njira yabwino komanso yosavuta yodzitetezera ku majeremusi. Sambani m'manja mwanu bwino ndi sopo ndi madzi kwa masekondi osachepera 20. Onetsetsani kuti mwasamba m'manja mukatuluka panja, musanadye, komanso mukatha kugwiritsa ntchito bafa. |
| Kupewa anthu odwala | Pewani anthu omwe ali ndi chifuwa ndi chimfine momwe mungathere. Ngakhale atanena kuti, "Panopa zili bwino, sizikufalikira," musatenge chiopsezo chilichonse. |
| Kupewa malo odzaza anthu | Chepetsani maulendo anu opita ku malo odzaza anthu monga mabasi, masitolo, akachisi, ndi matchalitchi. Ngati muyenera kupita, valani chigoba chabwino ndikuchoka mwachangu. |
| Chitetezo cha chakudya | Phikani chakudya bwino. Pewani kudya nyama ndi nsomba zosaphika kapena zosaphika bwino (monga sushi, nyama yankhumba yosaphika bwino). Tsukani ndi kuyeretsa ndiwo zamasamba ndi zipatso bwino musanadye. |
| Thandizo kuchokera kwa achibale | Uzani banja lanu za izi ndipo muwapemphe kuti atsatire njira zodzitetezera izi momwe angathere. Zimenezi zidzakuthandizani kwambiri. |
Ndiyenera kupita kwa dokotala nthawi yanji?
Simukuyenera kuyang'ana kutentha thupi tsiku lililonse mukalandira mankhwala a chemotherapy . Komabe, ngati mukuona zizindikiro zilizonse za matenda, uzani dokotala wanu nthawi yomweyo.
Yang'anirani zizindikiro izi:
- Malungo (nthawi zambiri amafika pa 100.4°F kapena 38°C)
- Kumva kutentha kapena kunjenjemera
- Kuvuta kupuma
- Kumva kutopa kwambiri komanso wopanda moyo
- Kumva kudwala, mosiyana ndi masiku onse
Ngati mwayamba kutentha thupi, musanyalanyaze. Imbani dokotala nthawi yomweyo. Iye adzakuuzani ngati muyenera kukhala panyumba, kubwera ku chipatala, kapena kupita kuchipatala chapafupi.Kaya mupite ku Emergency Treatment Unit (ETU). Ngati mupita ku ETU, onetsetsani kuti mwauza dokotala kumeneko kuti mukulandira chithandizo cha chemotherapy.
Kodi neutropenia imatenga nthawi yayitali bwanji?
Kuopsa kwa vutoli komanso nthawi yomwe limatenga zidzasiyana malinga ndi mtundu wa mankhwala a chemotherapy omwe mumalandira.
Kawirikawiri, kuchuluka kwa ma neutrophil kumatsika kwambiri pakati pa nthawi ya chemotherapy. Mwachitsanzo, ngati mukulandira mankhwala a chemotherapy milungu inayi iliyonse, kuchuluka kwa ma neutrophil anu kudzafika pamlingo wotsika kwambiri patatha milungu iwiri kuchokera pamene mwalandira chithandizo. Izi zitha kuipiraipira pamene chithandizo chanu chikupitirira. Koma musadandaule, madokotala anu ali okonzeka.
Kodi mankhwala ochizira izi ndi otani?
Pali mtundu wapadera wa mankhwala omwe madokotala amagwiritsa ntchito kuti achepetse nthawi ya neutropenia ndikukutetezani ku matenda. Mankhwalawa amatchedwa G-CSF (granulocyte colony-stimulating factors) . Mwachidule, mankhwalawa amalimbikitsa mafuta a m'mafupa anu ndikuwonjezera kupanga maselo oyera amagazi (makamaka ma neutrophils).
Izi nthawi zambiri zimaperekedwa ngati jakisoni patatha maola 24 kuchokera pamene mankhwala a chemo aperekedwa.
G-CSF yogwira ntchito nthawi yayitali
Mtundu uwu, womwe umafuna jakisoni imodzi yokha pa chemotherapy, ndi mtundu womwe umagwiritsidwa ntchito kwambiri masiku ano. Pali njira ziwiri zopezera izi:
1. Kubwerera kuchipatala tsiku lotsatira pambuyo pa mankhwala a chemo kuti akalandire jakisoni.
2. Kapena, mutha kudzibaya jekeseni kunyumba kapena kupatsa munthu wina wa m'banja mwanu jekeseni.
Kuphatikiza apo, pali chipangizo chatsopano chotchedwa Onpro . Mu ichi, paketi yaying'ono yokhala ndi jakisoni imalumikizidwa pakhungu la mkono wanu. Pakatha maola pafupifupi 27, mankhwalawa amalowetsedwa okha pansi pa khungu kudzera mu singano yaying'ono mkati. Iyi ndi njira yabwino kwa iwo omwe amaopa jakisoni ndipo sakufuna kubwerera kuchipatala.
G-CSF yogwira ntchito mwachidule
Mu mtundu uwu, muyenera kumwa jakisoni kangapo tsiku lililonse pakati pa nthawi ziwiri za chemotherapy. Ngakhale kuti izi sizichitika kawirikawiri chifukwa cha kubwera kwa mankhwala ogwira ntchito kwa nthawi yayitali, madokotala angakulangizenibe ngati anthu ena akukumana ndi zotsatirapo zoyipa zambiri chifukwa cha mankhwala ogwira ntchito kwa nthawi yayitali.
Zotsatirapo zoyipa za mankhwalawa
Zotsatira zoyipa kwambiri za G-CSF ndi kupweteka kwa mafupa ndi minofu komanso malungo . Izi nthawi zambiri zimatha kuthetsedwa ndi mankhwala ochepetsa ululu (funsani dokotala wanu).
Uthenga Wopita Nawo Kunyumba
- Neutropenia ndi vuto lofala komanso la kanthawi lomwe limachitika panthawi ya chemotherapy. Musadandaule nazo mopanda chifukwa.
- Chiwopsezo chanu chachikulu panthawiyi ndi matenda , choncho onetsetsani kuti mukutsatira njira zodzitetezera monga kusamba m'manja ndi kupewa anthu ambiri.
- Ngati mukuyamba kutentha thupi kapena muli ndi zizindikiro za matenda , imbani dokotala nthawi yomweyo.
- Pali mankhwala othandiza, monga G-CSF, kuti abwezeretse msanga kuchuluka kwa maselo oyera m'magazi anu.
- Simuli nokha paulendowu. Gulu lanu lachipatala nthawi zonse limakhala lokonzeka kukuthandizani. Choncho kambiranani nawo za nkhawa zilizonse.
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